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Idaho rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.01 / $2,616.01 / $2,616.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.73 / $3,655.37 / $4,380.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.47 / $691.47 / $691.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.95 / $1,822.94 / $2,078.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.20 / $1,252.20 / $2,697.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $736.87 / $1,878.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.55 / $3,452.07 / $4,865.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.29 / $2,105.73 / $2,216.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.15 / $1,291.81 / $1,966.35